Biomedical Informatics 4th Edition by Edward Shortliffe, James Cimino

Exercise 4

Transitioning CDS systems fromone clinical setting to another hasalways been problematic. The LeedsAbdominal Pain System was installedin several major clinical settings, andyet the system never performed aswell elsewhere as it had done in Leeds.The Arden Syntax, created expresslyto facilitate knowledge sharing across institutions, has yet to meet this goalto a significant degree. Why kinds ofsetting-specific factors make it difficultto transplant decision-support technol-ogy from one environment to another?What kinds of research might lead tobetter methods for knowledge sharingin the future?